• 제목/요약/키워드: Mental health service

검색결과 453건 처리시간 0.028초

기혼여성의 우울감과 가족가치관과의 관련성 연구: 제4차 여성가족패널조사(2012) 자료분석 (Association of Family Values with Depressive Mood in Korean Married Women: The 4th Korean Longitudinal Survey of Women and Families Panel)

  • 박소진;김노을;임승지;김지만;정우진
    • 보건행정학회지
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    • 제28권2호
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    • pp.151-161
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    • 2018
  • Background: Family values of a married woman may be related to her own depressive mood. Since depressive mood of a married woman is likely to exert a negative influence, in terms of mental health, on her, her family members, and the whole society's, it may be very important to explore the relationship between family values in married women and their depressive mood. Methods: In this study, we analyzed nationally representative 5,818 married women aged 20 years or older from the 4th panel data of 2012 Korean Longitudinal Survey of Women and Families. As for variables of interest, we constructed three family values variables: family-oriented view of marriage, individualistic view of marriage, and traditional view of marital roles. Then we employed multivariate logistic regression analyses to explore the relationship between family values and depressive mood, adjusting for family and socio-demographic factors. Results: In total, 804 married women (18.4%) had experienced depressive mood. All of the three family values variables were significant in their relationships with depressive mood. The women categorized as 'very weak' in family-oriented view of marriage were more likely to experience depressive mood than the women categorized as 'very strong' (odds ratio [OR], 1.98; 95% confidence interval [CI], 1.53-2.55). By contrast, the women categorized as 'very weak' in individualistic view of marriage (OR, 0.43; 95% CI, 0.33-0.55) and in traditional view of marital roles (OR, 0.68; 95% CI, 0.51-0.92) were less likely to experience depressive mood than their respective counterpart women categorized as 'very strong.' Conclusion: In Korea, married women's values towards marriage itself and roles between wives and husbands had significant associations with their depressive mood. This suggests that in order to improve mental health in married women, we need to take social and cultural dimensions into consideration along with public health interventions.

자연환경과 건강증진에 관한 새로운 패러다임에 관한 고찰 (A New Paradigm of the Relationships between the Natural Environment and Human Health)

  • 이주영
    • 한국환경과학회지
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    • 제25권9호
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    • pp.1341-1348
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    • 2016
  • The natural environment plays an important role not only in ecological sustainability, but also in human health. Growing attention has been focused on the health benefits of natural environments with increasing scientific evidence in this field. Urban green space has positive effects on individual and community health; thus, it is considered as social infrastructure. The natural environment promotes mental health by relieving psychological stress and depression. Physical health can be improved by experiencing nature, which reduces physiological stress and boosts the immune system. Several international initiatives have been undertaken to improve our understanding in this field and to utilize these benefits for health promotion. Interdisciplinary approaches are needed to promote human health through the natural environment in the fields of science, education, planning and policy.

배우자의 경제적 지지가 직장여성의 우울증에 미치는 영향 (The Effects of Economic Support from Spouse on Depressive Symptoms of Working Women)

  • 정유림;정성화;유왕근;한삼성
    • 보건의료산업학회지
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    • 제11권2호
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    • pp.93-103
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    • 2017
  • Objectives : The aim of this study was to examine the effects of economic support on working women's depressive symptoms, using the dataset of the Korean Longitudinal Survey of Women and Family (KLoWF 4th). There were 2,055 subjects. Methods : A multiple regression model was used to study the association between two-income families and symptom of depression, controlling for socio-demographic characteristics, spouse relationship characteristics (couple activity, household labor, relationship with spouse). Results : Authors found a negative relationship between couple activity (b=-0.151, p<0.001) and depressive symptoms, a positive relationship between household labor (b=0.045, p=0.001) and depressive symptoms, and a negative relationship between relationship with spouse (b=-0.386, p<0.001) and depressive symptoms. Conclusions : The results of this study show the importance of spousal support in promoting the marital relationship and mental health among married working women.

산업의학(産業醫學)의 한의학적(韓醫學的) 고찰(考察) (The Oriental Medical Study of the Occupational Medicine)

  • 이문규;임형호
    • 대한추나의학회지
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    • 제3권1호
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    • pp.125-139
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    • 2002
  • Objectives : The purpose of this study is to review and summarize about occupational medicine and to applicate the occupational medicine to oriental medicine. Methods : We investigated several books, articles and related internet sites to know occupational medicine's present conditions in Korea and other countries, and researched the plan on oriental medical participation in the industrial health. Results and Conclusion : The conclusions are as follows, 1. Recent years, industrialization has changed working environment and health condition in workplace, so industrial health service has became important part. 2. Occupational medicine has the purpose of protection. prevention, fitness, health management, medical treatment. rehabilitation, and primary medical service. The range of occupational medicine is enlarged mental, social good health and social, economical production capacity recently. 3. After research each country's occupational medicine, we can know the purpose is same, but the system and work contents are different one another. 4. Oriental medical participation in the industrial health has various benefits, satisfaction of workers, efficiency of cost, and increasing rate of medical treatment through the western and oriental medical cooperation.

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동네무질서와 정신장애인의 지역사회통합과의 관계 - 지역사회응집력의 조절효과 분석 - (The Moderating Effect of Community Cohesion on the Relationship between Neighborhood Disorder and Community Integration among Persons with Mental Illnesses)

  • 민소영
    • 한국사회복지학
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    • 제67권3호
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    • pp.57-82
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    • 2015
  • 본 연구의 목적은 동네환경과 정신장애인의 지역사회통합과의 관계에서 지역사회응집력의 조절효과를 검증하는 데 있다. 스트레스과정 모델, 사회해체이론, 그리고 동네무질서모델을 이론적 근거로 연구모형을 설정하였다. 서울과 경기도에 거주하는 정신장애인 총 692명에게 설문조사를 실시하여 자료를 수집한 뒤, 조절회귀분석을 수행하였다. 주요한 연구결과는 첫째, 동네무질서가 사회적 통합에 직접적 영향을 미치는 것으로 나타났다. 둘째, 지역사회응집력의 조절 효과는 물리적, 사회적, 심리적 통합 모두에서 유의미하게 나타났다. 연구결과를 바탕으로 정신장애인의 지역사회통합을 달성하기 위해서는 개인차원이나 서비스 차원의 개입전략에서 더 나아가 지역사회차원의 개입이 필요함을 제안하였다.

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Predicting the Living Status of Homeless Youth: Living on the Street or in a Shelter

  • Kang, Min-Ju
    • International Journal of Human Ecology
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    • 제13권1호
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    • pp.1-16
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    • 2012
  • Information about the characteristics of street-living versus shelter-residing youth is vital for tailoring prevention and intervention efforts to the unique needs of runaway and homeless youth. The present study compared two samples of youth [street-living (n=73) versus shelter-residing (n=205)], between the ages of 14 to 17 years, on behavioral and emotional factors and service use. Based on the different characteristics of the two groups, the predictors explaining the living status of the runaways and homeless youth were explored. In general, street-living youth reported more severe substance use, depressive symptoms, and risky sexual behavior, but less lifetime service involvement compared to shelter-residing youth. The factors that predicted shelter-residing status were related to younger age, prior service care experience, more knowledge about HIV, and engaging in less delinquent and risky behavior. Given the little overlap among youth in service involvement and the greater severity faced by street-living youth, the conclusions highlight the need for increased funding and attention towards facilitating the ability of street-living youth to find and enter mental health and reintegration services.

국내 수의과대학생의 스트레스 경험 연구 (A study on stress experiences of Korean veterinary students)

  • 김재은;주설아;천명선;이동혁;남상섭
    • 대한수의학회지
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    • 제60권2호
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    • pp.69-77
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    • 2020
  • The quality of a veterinary service depends on the veterinarian's physical and mental health. However, a veterinarian's mental health is generally considered to be more vulnerable than that of other health care professionals. As many veterinary students will enter the veterinary profession in near future, it is necessary to investigate their psychological status. This study examined stressors affecting student life in one veterinary school. Anxiety, depression, and stress levels were assessed using questionnaires and qualitative research techniques. The results obtained from questionnaires showed that the proportion of veterinary students with psychological distress was higher than expected. The major stressors experienced by the veterinary students were academic, economic, and environmental. Qualitative study using a photovoice method revealed that the students in this study felt relatively deprived compared with those in other veterinary schools. In addition, they were distressed by the school environment and limited human relationship. Our results suggest that veterinary school administrators should be aware of students' psychological distress and should undertake systematic improvement in their educational system by altering counseling programs, curricula, and school culture principles.

코로나19 유행 시기 의료이용의 변화 (Changes in Health Care Utilization during the COVID-19 Pandemic)

  • 오정윤;조수진;최지숙
    • 보건행정학회지
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    • 제31권4호
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    • pp.508-517
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    • 2021
  • Background: After the first case of coronavirus disease 2019 (COVID-19) in January 2020, Korea has experienced three waves in 2020. This study aimed to analyze changes in health care utilization according to the period of the 1st to 3rd waves of the COVID-19 pandemic. Methods: We analyzed 3,354,469,401 national health insurance claims from 59,104 medical facilities between 2017 and 2020. Observed-to-expected ratios (O:E ratio) with data from 2017 to 2019 as expected values and data from 2020 as observed values were obtained to analyze changes in medical utilization. T-test was used to test whether the difference of observed and expected values was statistically significant. Results: In 2020, the O:E ratio was 0.894, indicating a decrease in health care utilization overall during the pandemic. The O:E ratio of the 1st wave was 0.832, which was lower than those of the second (0.886) and third (0.873) waves. Health care utilization decreased relatively more among outpatient, women, children and adolescents, and health insurance patients. And health care utilization decreased more in small medical facilities and in Daegu and Gyeongbuk during the first wave. During the pandemic, the O:E ratios of respiratory diseases were 0.486-0.694, while chronic diseases and mental diseases were more than 1.0. Conclusion: Health care utilization decreased during the COVID-19 pandemic overall, and there were differences by COVID-19 waves, and by the characteristics of patients and medical facilities. It is necessary to understand the cause of changes in health care utilization in order to cope with the prolonged COVID-19 pandemic.

청소년용 정신화 프로그램의 학생정신건강 증진효과 평가 (Efficacy of the Mentalization Improvement Program for Adolescent (MIPAdo) for Enhancement of Mental Health in School Children)

  • 문수진;오소영;이원혜;홍민하;민정원;김봉석;황준원;우이혁;반건호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제23권3호
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    • pp.109-116
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    • 2012
  • Objectives : Understanding the emotions, thoughts, feelings and behaviors of others, as well as oneself, is part of the mentalizing function. We developed a new school-based community model for mental health, called the Mentalization Improvement Program for Adolescent-Community Model (MIPAdo-CM), based on the concept of mentalization. Methods : The MIPAdo-CM was composed of 12 sessions and was applied to 403 students in the 2nd grade of a middle school. Every session was conducted after the regular school hours for 6 weeks. After 6 weeks, we compared the endpoint changes of Adolescent Mental Problem Questionnaire-Revised (AMPQ-R), Emotional Empathy Test (EET), Peer Aggression Scale (PAS), Peer Bullying Scale (PBS), School Adjustment Scale (SAS), Test Anxiety Inventory (TAI) and Visual Analogue Scale between the subject and the control group. Results : There was no significant difference between two groups in AMPQ-R, EET, PAS, PBS, SAS, and TAI. On the Visual Analoge Scale, however, students in the trial classes reported more increase in understanding and respect for both others and themselves. Conclusion : The efficacy of MIPAdo-CM was subjective improvement of understanding and respect for both others and themselves, erence between two groups in AMPQ-R, Empathy test, To prove objective usefulness of this program, further studies with more structured design will be needed.

안정화된 만성 조현병 환자에서 강박장애 증상이 삶의 질에 미치는 영향 (Impact of Comorbid Obsessive Compulsive Symptoms on Quality of Life in Stable Patients with Chronic Schizophrenia)

  • 문정윤;강석훈;석정호;김찬형;김태용;최진희;소형석
    • 대한불안의학회지
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    • 제13권2호
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    • pp.141-147
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    • 2017
  • Objective : This study aimed to evaluate the relationship between comorbid obsessive compulsive disorder (OCD) and quality of life in stable patients with schizophrenia. Methods : We interviewed 162 symptom-stable inpatients who have been on a constant dose of antipsychotics for at least 3 months prior and diagnosed as chronic schizophrenia. Subsequently, patients were classified according to the existence of OCD as evaluated using the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). Further, all clinical and demographic data were collected and evaluated. To investigate potential interrelationships, the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Korea-Positive and Negative Symptom Scale (K-PANSS), Korean Modification of the Scale to Measure Subjective Well-Being under Neuroleptic Treatment (KmSWN) and Korean Version Quality of Life Scale (K-QOLS) were performed. Independent t-test and Chi-square test were used to compare groups and regression analysis was done to assess the relationship between the Y-BOCS and quality of life. Results : Schizophrenia patients with OCD showed significantly earlier onset of schizophrenia, more severe psychiatric symptoms and lower quality of life, compared to those without comorbid OCD. OCD might be associated with lower quality of life in schizophrenia. Conclusion : Schizophrenia patients with OCD showed lower quality of life than those without OCD. In the treatment for schizophrenia, evaluation of OCD might be needed to improve their quality of life and social function.